Boijsen M, Svensson G, Tylén U
Acta Radiol Diagn (Stockh). 1985 May-Jun;26(3):245-50. doi: 10.1177/028418518502600303.
Twenty-three patients with small cell carcinoma of the lung were examined with CT and conventional chest radiography before treatment, 19 after 3 courses of chemotherapy, before radiation therapy, and 8 after cessation of chemotherapy and radiation therapy. In most patients high abdominal CT was also employed. CT provided more information about the thoracic involvement than did conventional radiography in more than half of the cases. In 3 cases CT before irradiation demonstrated progression in the thorax, not visible at conventional radiography, and in 4 cases progression of extrathoracic metastases in spite of intrathoracic regression. After therapy, one case of progression in the thorax not seen at conventional radiography was demonstrated. With repeated CT examinations of the thorax and abdomen, progression/regression both intra- and extrathoracically is well demonstrated.
23例肺小细胞癌患者在治疗前接受了CT和传统胸部X线检查，19例在接受3个疗程化疗后、放疗前接受了检查，8例在化疗和放疗结束后接受了检查。大多数患者还进行了上腹部CT检查。在超过半数的病例中，CT比传统X线检查提供了更多关于胸部受累情况的信息。在3例病例中，放疗前CT显示胸部有进展，而传统X线检查未见，在4例病例中，尽管胸腔内病变有所消退，但胸外转移仍有进展。治疗后，发现1例传统X线检查未见的胸部进展病例。通过对胸部和腹部进行反复CT检查，可以很好地显示胸腔内和胸腔外的进展/消退情况。
